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- Title
Uso de antiinflamatorios no esteroideos y monitorización de la función renal. Estudio piloto en un centro de salud de Atención Primaria.
- Authors
De Abechuco, Itziar de Pablo-López; Ángeles Gálvez-Múgica, M.; Rodríguez, Daniel; Manuel del Rey, J.; Prieto, Esther; Cuchi, Miguel; Sánchez-Peruca, Luis; Liaño-García, Fernando
- Abstract
Objectives: To determine the current state of renal function monitoring carried out on patients treated with NSAIDs. Material and Method: We selected patients from a Primary Care Centre who had received NSAIDs for the first time. We checked if renal function was measured and/or controlled 2 months pre/6 months post-NSAID administration in order to assess if patient renal function was known at the time of prescription and afterwards. Results: During the study period, there were 42 822 prescriptions made. Of these, 8611 were new drug prescriptions, of which 482 (5.6%) were NSAIDs in patients older than 14 years of age. A total of 450 patients (64% female) were treated with NSAIDs. Ibuprofen (66.0%) was the most commonly prescribed. NSAIDs were more frequently used in patients between 14-45 years of age. Only 168 (37.1%) patients underwent any analytical tests over the course of the study (68% female). Before prescription, renal function was measured in only 14% of cases (63 patients). Two patients received NSAIDs despite having high serum creatinine levels. During the follow-up, serum creatinine was measured in 129 patients (28.7%). Conclusions: In primary care, NSAIDs represent a substantial percentage of the drugs prescribed (5.6%). Ibuprofen is the most commonly prescribed. NSAIDs are more frequently used in women between 14-45 years. Musculo-skeletal pain is the main indication for prescription. Only 14% of patients receiving these drugs had previously measured levels of serum creatinine. These values are rarely taken into account when prescribing NSAIDs. Control of renal function after NSAID prescription was unusual.
- Subjects
NONSTEROIDAL anti-inflammatory agents; PRIMARY care; PILOT projects; KIDNEY failure; DRUG prescribing; IBUPROFEN; THERAPEUTICS
- Publication
Nefrologia, 2012, Vol 32, Issue 6, p777
- ISSN
0211-6995
- Publication type
Article
- DOI
10.3265/Nefrologia.pre2012.Jul.11483